Speaker RFP Form

RFP Deadline for 2020 was February 15, 2020. For 2021, please submit using the form below.

2020 Conference Dates: August 20-21, 2020, La Vista Hotel & Conference Center, La Vista, NE

Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Title *

Organization Name *

Website *

Please enter your full website address.

Please enter your bio below *

(250 characters or less)

Presentation Title *

Presentation Description *

Training Topic *

Learning Objective #1 *

Learning Objective #2 *

Learning Objective #3 *

Type of presentation you're requesting: *

Has your presentation already been certified for HRCI or SHRM credit? *

If yes, please provide previously approved SHRM Activity Code:

Has this program previously been approved for HRCI CEU credits? *

If yes, please provide previously approved HRCI Activity Code:

If program has been approved for HRCI CEU credits, were they general or strategic credits? *

If selected as a breakout presenter, would you be available to repeat your session on the same day? *

Please attach your headshot *

Click or drag a file to this area to upload.

Speaker Disclosure Agreement

Enter the total below *

What is 7+4?

Address
123 Main Street
New York, NY 10001

Hours
Monday—Friday: 9:00AM–5:00PM
Saturday & Sunday: 11:00AM–3:00PM

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This may be a good place to introduce yourself and your site or include some credits.